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Dentistry is less scientific and more gratuitous than people think (2019)

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331–340 of 349 posts

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#331
post #32

Well it's only anecdotical of course, but I had a similar experience a couple of years ago that made me very confused about dentistry in general. At the time a had a small tooth ache so I was planning to visit a dentist to check it. I was living in Switzerland, where dentist costs are very high, but I was about to go on holiday to Tenerife, where prices are much lower. So I checked on the Internet and chose the denti…

Yep, sounds familiar. When I was a kid I broke one of my front teeth in half my dentist glued it back on saying it would probably not last too long but worth a try anyway. Many years later it broke off again. I didn't have dentist at the time (just moved) and did some shopping around (most had waiting lists). The first dentist said it was absolutely impossible to glue the bit back on, and offered to replace my tooth…

My friend, that was krazy glue.

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#332

Earlier quoted context omitted.

>- socialized dentistry, where unless you're screaming in pain dentists take two peeks into your mouth and say it's fine and tell you to get out so they can take the next patient in the 200 person line outside (and shill their afternoon private practice to you if they happen to be the more shady type) What would you define as socialised healthcare? Like would Belgium or the like qualify?

Tax funded healthcare services that you (generally) don't have to pay for when receiving care?

Here we pay but a small amount.

Where has what you described been your experience?

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#333

Earlier quoted context omitted.

> curiously they had and still have extremely negative opinions of medical paraprofessionals like PAs and NPs This isn't entirely unfounded. There are real concerns over replacing MDs with mid-levels with much less training. The AMA is significantly to blame for the switch, but as a general rule I won't see PA/NPs for anything beyond prescription refills or something like that.

But that routine care is a good case for PAs/NPs. Pulling blood once and year and refilling my inhaler doesn’t require any speciality knowledge that only an MD would have. Most people shouldn’t have any reason to avoid one for their annual check or treating a run-of-the-mill illness.

Even that is arguable; I'd rather see an MD for an annual physical. It seems like a routine thing to people not in the medical field, but there are a ton of little things that are checked and could be caught early. I'd rather have an actual doctor performing it.

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#334

Earlier quoted context omitted.

> There is no reason to floss twice daily. This doesn't even really make sense - what would you be flossing out in the morning upon waking? The bacteria colonies re-establish themselves after 12 hours. I can also vouch for much better state of my gums when flossing twice a day. > You also need not use a 'rubber pointy thing' - proper flossing goes just below the gum line and will get everything you need removed. The…

Agreed that the rubber pointy thing is important. It was the last piece in the puzzle (in addition to the toothbrush and flossing and flour) that has kept my teeth fine although I didn't visit the dentist for many years (before last time). This, thanks to their good advice (the dentists where I lived at the time, many years ago)

What is the rubber pointy thing? Where do you find one?

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#335

Earlier quoted context omitted.

Is it just me or do dentists rarely if ever suggest that their adult patients change their diet to avoid dental caries? They probably still tell children "don't eat candy", but since I reached adulthood I don't think a dentist ever told me suggested that the reason I needed so many cavities drilled was because I was feeding bacteria in my mouth. If my experience is as ubiquitous as I suspect, there seems to be a perv…

A dentist once told me that it's worse for my teeth to sip a soda or a coffee slowly over several hours than to chug it all at once. I wonder if it was suggested because patients might actually do that, compared to not drinking soda or coffee at all. (I might drink coffee slightly faster than I used to. I do not drink soda. I'm fine with stains but not unnecessary tooth decay.)

It would be hilarious if this turns out to be true. My wife eats slowly, has some dental problems. I eat extremely fast, have been criticized my whole childhood because of how fast I eat (and drink, but nowdays I drink only water).

I have zero dental problems.

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#336
post #234

Earlier quoted context omitted.

Even still, the OP wouldn’t be any worse off waiting for a cavity and getting the tooth pulled then. Pushing surgery now is sketchy AF.

Not quite true; sometimes, if an infection develops (even without a cavity, just because food got caught in the gums) it can be significantly more painful to deal with than getting it taken care of when they're healthy.

Of my 4 wisdom teeth, I got 2 removed for that reason. They got infected at least once per year un my twenties and it was really painful. Doctor never recommended to do it, but did tell me "if you feel like it's too annoying, we can remove them". I was the one asking after a holiday completely ruined (and no pharmacy available). So 2 it is.

Now, all good with the other 2,however the new dentist suggested removing them because those are a little bit extruded (they have been this way for a long time). Looks like I need a new dentist

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#337
post #190

Earlier quoted context omitted.

I often wonder about this, because they made me remove mine due to "risk of infection". But afterwards I now get infections there if I get food stuck in the pocket left behind and can't get to a water pik soon enough.

Those pockets should have healed and closed up within a few days after surgery. It sounds like you had dry sockets that weren't properly dealt with.

Is it actually possible? I had dry sockets infected and it was equivalent to going through surgery again, except for the whole day. Had it fixed the next day.

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#338
post #136

Ah this article put the finger on why I don't trust my 'new dentist': The operation is just too slick from a business POV. As someone familiar with SaaS or in general this kind of recurring business model, you can sense all the little operational policies and procedures designed to increase your LTV. It's a well-oiled machine. Without fail, the hygienist recommends cleaning not once every 12 months or even every 6 mo…

When I was 21, my dentist recommended removal of my wisdom teeth. I asked why, he said because they are difficult to clean, and so I'd lose them anyway by 30. I switched dentists. I'm old now, still have those teeth, and they are the healthiest teeth in my mouth. If you want to keep your teeth, 1. get an electric toothbrush 2. brush for the full 2 minutes, twice a day 3. floss twice a day, gently (overdoing it will e…

I got mine out recently in mid 40s. Wish I had done it sooner. Constant minor infections. And every so often the would move and cause a lot of pain, especially in 2020, when it was all arranged then got cancelled for the covid overreaction.

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#339

Earlier quoted context omitted.

I think this was the only heathcare thing I ever fought with my mom over, in high school. Demanded we get a second opinion. The oral surgeon agreed that my teeth were fine. Still have them 20 years later, still no cavities. It just seemed nuts to me to remove something through surgery that wasn't causing problems. My favorite "reason" for why they should come out was, "you're more likely to bite your cheeks."

One of my wisdom teeth is laying sideways and I've been told I need to get rid of it for ... twenty years now and still haven't bothered, since the cost of getting rid of it now and when it starts to do whatever horrible thing it's plotting to do is basically the same, I continue to punt. My current dentist is ambivalent about it.

Don't it bother you? I got constant minor infections with mine. Difficult to clean. Moved about occasionally causing a fair amount of pain.

Re: Dentistry is less scientific and more gratuitous than people think (2019)

#340

Earlier quoted context omitted.

When I was 21, my dentist recommended removal of my wisdom teeth. I asked why, he said because they are difficult to clean, and so I'd lose them anyway by 30. I switched dentists. I'm old now, still have those teeth, and they are the healthiest teeth in my mouth. If you want to keep your teeth, 1. get an electric toothbrush 2. brush for the full 2 minutes, twice a day 3. floss twice a day, gently (overdoing it will e…

Can we get an actual dentist to weigh in here? What techniques are most helpful? I see plenty of armchair mouth experts (I, myself almost spoke up, too), but I'd like to give space to someone who went to school for this stuff.

Appeal to authority though.
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